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Routinary PET/CT imaging for oncological surveillance accompanied by echocardiography may identify early atherosclerotic cardiovascular disease: A case report
Authors:Ana Danissa Michel-Vázquez MD  Santiago Luna-Alcala MD  Enrique C. Guerra MD  Leonardo Proaño-Bernal MD  Aldo Cabello-Ganem MD  Alexis D. Aparicio-Ortiz MD  Nilda Espinola-Zavaleta MD  PhD
Affiliation:1. Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Mexico, Mexico;2. Department of Nuclear Cardiology, National Institute of Cardiology Ignacio Chavez, Mexico, Mexico

School of Medicine, National Autonomous University of Mexico, Mexico, Mexico

Abstract:Atherosclerosis is a disease where plaque builds up in arteries, resulting in harmful cardiovascular events. Inflammation has a significant role in its progression, starting from the initial stages. Cancer patients, due to their constant exposure to inflammatory processes caused by treatments or illnesses, are at a higher risk of developing this condition. Arterial inflammation can be quantified with 18F-FDG PET/CT imaging. In this case report, we propose that routinary PET/CT imaging for oncological surveillance could be useful for cardiovascular risk stratification by reviewing a case of a patient with breast cancer whose imaging study revealed arterial inflammation and a subsequent echocardiogram evidenced grade II diastolic dysfunction (potentially, an initial manifestation of the ischemic cascade).
Keywords:atherosclerosis  cancer  echocardiography  positron emission tomography
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